Perforator types and anatomical characteristics of the deep circumflex iliac artery perforator flap with iliac crest: findings based on 40 clinical cases

IF 2.2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of oral and maxillofacial surgery Pub Date : 2025-02-01 DOI:10.1016/j.ijom.2024.07.021

L. Wu , L. Bu , T. Wu , W. Deng , K. Liu , B. Liu , Z. Shang , Z. Shao

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Abstract

The aim of this study was to report the clinical experience of repairing mandibular defects with a deep circumflex iliac artery perforator flap with iliac crest (DCIAPF) and to analyse the relevant anatomical data to guide clinical application. Forty patients with mandibular defects, who underwent reconstruction with a DCIAPF after oncological resection were included in the study. During the operation, anatomical features relevant to the structure of the DCIAPF were measured, including the position of the perforator, mobility of the skin paddle, length of the vascular pedicle, and adipose tissue thickness of the skin paddle. Three types of DCIAPF perforator were identified: type I, with a dominant perforator, which was observed in 17 patients (42.5%); type II, with a dominant perforator that divides into multiple tiny branches, in 20 patients (50%); type III, with no visible dominant perforator, in three patients (7.5%). In summary, the DCIAPF provides adequate bone tissue and satisfactory soft tissue.

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带髂嵴的髂深周动脉穿孔器皮瓣的穿孔器类型和解剖特征：基于 40 例临床病例的研究结果。

本研究旨在报告使用带髂嵴的髂周深动脉穿孔器皮瓣（DCIAPF）修复下颌骨缺损的临床经验，并分析相关解剖数据以指导临床应用。研究对象包括 40 名下颌骨缺损患者，他们在肿瘤切除术后接受了带髂嵴深周髂动脉穿孔器皮瓣重建手术。在手术过程中，测量了与 DCIAPF 结构相关的解剖特征，包括穿孔器的位置、皮瓣的活动度、血管蒂的长度和皮瓣的脂肪组织厚度。确定了三种类型的 DCIAPF 穿孔器：Ⅰ型，有一条显性穿孔器，在 17 例患者（42.5%）中观察到；Ⅱ型，有一条显性穿孔器，分成多条细小分支，在 20 例患者（50%）中观察到；Ⅲ型，看不到显性穿孔器，在 3 例患者（7.5%）中观察到。总之，DCIAPF 能提供足够的骨组织和令人满意的软组织。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of oral and maxillofacial surgery 医学-外科

CiteScore

5.10

自引率

4.20%

发文量

318

审稿时长

78 days

期刊介绍： The International Journal of Oral & Maxillofacial Surgery is one of the leading journals in oral and maxillofacial surgery in the world. The Journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery and supporting specialties. The Journal is divided into sections, ensuring every aspect of oral and maxillofacial surgery is covered fully through a range of invited review articles, leading clinical and research articles, technical notes, abstracts, case reports and others. The sections include: • Congenital and craniofacial deformities • Orthognathic Surgery/Aesthetic facial surgery • Trauma • TMJ disorders • Head and neck oncology • Reconstructive surgery • Implantology/Dentoalveolar surgery • Clinical Pathology • Oral Medicine • Research and emerging technologies.